Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIRASOL FAJARDO N.P.
NPI 1174573448
Nurse Practitioner - Adult Health in Buena Park, CA

Q: What is Mirasol Fajardo's NPI number?

The NPI number for Mirasol Fajardo is 1174573448. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Mirasol Fajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mirasol Fajardo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2006

6240 DESCANSO AVE, BUENA PARK, CA 90620(714) 522-9794 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mirasol Fajardo N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRASOL FAJARDO N.P. (NPI 1174573448) is an individual adult health provider in Buena Park, California, licensed in California (15932) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1174573448

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMIRASOL FAJARDOCredential: N.P.

Location Address6240 DESCANSO AVEBuena Park, CA 90620-1013

Mailing Address3520 Clarington AveLos Angeles, CA 90034-4922 · (323) 620-4617

Phone(714) 522-9794

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1174573448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 15932

6240 DESCANSO AVE, Buena Park, CA 90620

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirasol Fajardo's NPI number?

The NPI number for Mirasol Fajardo is 1174573448. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Mirasol Fajardo located?

Mirasol Fajardo practices at 6240 Descanso Ave, Buena Park, CA 90620. The listed phone number is (714) 522-9794.

What is Mirasol Fajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mirasol Fajardo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.